Barton William Wild, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Portage, Michigan. He went to Wayne State University School Of Medicine and graduated in 2005 and has 21 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Southern Michigan Pain Consultants Pc and his current practice location is
3770 Glenkerry Ct, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 329-2887.
Barton William Wild is licensed to practice in Michigan (license number 4301086518) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710197579.
Physician's Profile
| Full Name | Barton William Wild |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 21 Years |
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| Location | 3770 Glenkerry Ct, Portage, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Barton William Wild attended and graduated from Wayne State University School Of Medicine in 2005
NPI Data:
- NPI Number: 1710197579
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 05/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729104286
- Enrollment ID: I20100922000516
Medical Identifiers
Medical identifiers for Barton William Wild such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710197579 | NPI | - | NPPES |
| 1710197579 | Medicaid | MI | |
| M91620016 | Other | MI | UHC COMMUNITY PLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207LP2900X | Anesthesiology - Pain Medicine | 4301086518 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301086518 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Southern Michigan Pain Consultants Pc | 3173590957 | 11 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Barton William Wild allows following entities to bill medicare on his behalf.
| Entity Name | Southern Michigan Pain Consultants PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538119391 PECOS PAC ID: 3173590957 Enrollment ID: O20040911000291 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Barton William Wild is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Barton William Wild, MD 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI 49512-2091 Ph: (616) 940-2662 | Barton William Wild, MD 3770 Glenkerry Ct, Portage, MI 49024-0700 Ph: (269) 329-2887 |
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